Randy A Shuck, DO
Family Medicine in South Pasadena, FL. Individual provider (NPI-1).
NPI number1477523975
StatusActive
Last updated in NPPESFeb 8, 2022
Details
- NPI
- 1477523975
- Entity type
- Individual (NPI-1)
- Name
- Randy A Shuck
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2006
- Certification date
- Feb 8, 2022
- Last updated
- Feb 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | os7079 | FL | Yes |
Practice location
6800 Gulfport Blvd S Ste 101South Pasadena, FL 33707-2193
Phone 727-328-3324 · Fax 877-592-0792
Mailing address
6800 Gulfport Blvd S Ste 101South Pasadena, FL 33707-2193
Phone 727-328-3324 · Fax 877-592-0792
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